KHALED A ALTASSAN (Credential# 1227997) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
KHALED A ALTASSAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053596. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 65 Wolfpit Ave Apt 5e, Norwalk, CT 06851. The current status is active.
| Licensee Name | KHALED A ALTASSAN |
| Credential ID | 1227997 |
| Credential Number | 1.053596 |
| Credential Type | Physician/Surgeon |
| Business Address |
65 Wolfpit Ave Apt 5e Norwalk CT 06851 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-10-10 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1333947 | CSP.0062129 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-02-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1490564 | 1.058666-RES | Resident Physician | 2014-07-11 | 2014-07-11 - 2019-06-30 | INACTIVE |
| Street Address | 65 Wolfpit Ave Apt 5E |
| City | Norwalk |
| State | CT |
| Zip Code | 06851 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis A Diberardino | 5 Merrill Rd, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| William N Andriopoulos | 21 Maurice St, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| Donald D Overton | 5 Honey Hill Road, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| A & J Shoe Corporation · Hawley Lane Shoes | 499 Westport Ave, Norwalk, CT 06851 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Michael T Coppolo | 21 Morgan Avenue, Norwalk, CT 06851 | Real Estate Salesperson | ~ |
| Catherine Mills | 27c Aiken Street, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Theresa B Ross-whitaker · Ross | 7 Disesa Court, Norwalk, CT 06851 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle P Vincoli | 136 Newtown Ave, Norwalk, CT 06851 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Dunkin Donuts | 195 Main Street, Norwalk, CT 06851 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jungsoo Kim | 430 Main Ave R8, Norwalk, CT 06851 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-23 ~ 2022-05-31 |
| Find all Licenses in zip 06851 | |||
| City | Norwalk |
| Zip Code | 06851 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Norwalk |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mohamad A A Khaled | 20 Highland Ridge Dr, Suffield, CT 06078-1379 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Khaled Carvan | 24 Hospital Ave, Danbury, CT 06810 | Resident Physician | 2016-06-20 ~ 2019-06-30 |
| Khaled G Eldin | 22 Vail Dr, Matawan, NJ 07747-6827 | Dentist | 2017-08-09 ~ 2018-07-31 |
| Nrdeen Khaled Ahmed | 1 Stonecastle Rd, New Milford, CT 06776-2625 | Registered Nurse | ~ |
| Khandaker M Khaled | 43-23 40th St Apt #6d, Sunnyside, NY 11104 | Professional Engineer | ~ |
| Khaled M Omar | 1460 Guernseytown Rd, Watertown, CT 06795-0634 | Barber | 2020-04-01 ~ 2022-03-31 |
| Khaled Jawish | 792 Sw 159th Dr, Pembroke Pines, LB 00000 | Registered Nurse | ~ |
| Nayla Khaled Rifai | 539 Tidewater Dr, Warwick, RI 02889-5450 | Registered Nurse | 2019-10-01 ~ 2020-10-31 |
| Khaled Hanieh | 333 Park Ave, Bridgeport, CT 06604-5447 | Home Improvement Salesperson | ~ |
| Khaled Eltawab | P.o. Box 260201, Hartford, CT 06126 | Medication Administration Certification | ~ |
Please comment or provide details below to improve the information on KHALED A ALTASSAN.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).